Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY KETELAAR, LPC
Active Sole ProprietorKELLY KETELAAR, LPC is a Professional Counselor healthcare provider located in MANHATTAN, Illinois. NPI 1851049621 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · MANHATTAN, IL
Registration Details
- NPI Number
- 1851049621
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 11, 2022 (4.4081393918358 yrs)
- Last Updated
- Mar 11, 2022
- License
-
178.016090 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25447 ELAM DRMANHATTAN, IL, 604426219Browse IL providers · Browse ZIP 60442
- Phone
- 8155305092
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in MANHATTAN, IL
| Name | Credential | NPI |
|---|---|---|
| JESSICA JOAN CALLAHAN | L.C.P.C. | 1962778068 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.